ATI RN
Caring for a Newborn who is Experiencing Complications ATI Questions
Question 1 of 5
The labor and delivery nurse is present for the delivery of a premature neonate. Which action by the nurse is most important?
Correct Answer: A
Rationale: The correct answer is A: Stabilize and transfer neonate to NICU. This is the most important action because premature neonates require immediate specialized care in the Neonatal Intensive Care Unit (NICU) to address their unique medical needs and increase their chances of survival. Stabilizing the neonate involves assessment, monitoring vital signs, providing respiratory support if needed, and ensuring a safe transition to the NICU. Reviewing pregnancy history (B) is important but not as urgent as immediate stabilization and transfer. Maintaining fluid and electrolyte balance (C) and providing a neutral temperature environment (D) are also important but secondary to the critical need for specialized care in the NICU.
Question 2 of 5
The nurse is providing care for a premature neonate born at 28 weeks gestation who is experiencing respiratory distress syndrome (RDS). Which assessment finding indicates to the nurse that the neonate’s respiratory status is deteriorating?
Correct Answer: A
Rationale: The correct answer is A. A Pao2 of 48 and Paco2 of 55 mm Hg on 90% oxygen indicates severe hypoxemia and hypercapnia, suggesting worsening respiratory status in a neonate with RDS. Here's a step-by-step rationale: 1. Hypoxemia (low Pao2) indicates inadequate oxygenation, which can lead to tissue hypoxia and organ damage. 2. Hypercapnia (high Paco2) is a sign of inadequate ventilation and respiratory acidosis. 3. High oxygen requirement (90%) despite low Pao2 suggests poor oxygen exchange. 4. Overall, these findings point to respiratory failure and deterioration in the neonate's condition. Summary: B is incorrect because an elevated respiratory rate is a compensatory mechanism for respiratory distress. C is incorrect as decreased breath sounds can be expected in RDS. D is incorrect as an elevated heart rate can be a compensatory response to hypoxemia
Question 3 of 5
A patient who is at 41 weeks gestation is concerned when the primary care provider decides to induce labor. Which reason does the nurse explain as the most important need for this procedure?
Correct Answer: C
Rationale: The correct answer is C: Risk for placental dysfunction. At 41 weeks gestation, the placenta may start to deteriorate, leading to reduced oxygen and nutrient supply to the fetus, increasing the risk of stillbirth. Inducing labor can prevent this complication and ensure the well-being of both the mother and the baby. A: Increasing size of the neonate - While fetal size can be a consideration for induction, it is not the most important reason at 41 weeks gestation. B: Ability to deliver vaginally - Inducing labor does not solely depend on the ability to deliver vaginally, as other factors like fetal well-being take precedence. D: Likelihood of meconium aspiration - Meconium aspiration is a risk in post-term pregnancies, but it is not the primary reason for inducing labor at 41 weeks gestation.
Question 4 of 5
The nurse is preparing for the discharge of a premature neonate to home with the parents. The nurse explains the neonate must be able to pass the infant car seat challenge before discharge. For which reason would the neonate be considered unsafe in a car seat?
Correct Answer: C
Rationale: The correct answer is C because the infant car seat challenge is used to assess if the neonate can maintain adequate oxygenation, heart rate, and respiratory rate in a seated position. This is crucial as infants who are unable to maintain these vital signs while in a car seat are at risk of oxygen desaturation and apnea, which can lead to serious complications such as suffocation or sudden infant death syndrome. Therefore, if the neonate is unable to maintain adequate oxygenation, heart rate, and respiratory rate during the trial, it would be unsafe for them to travel in a car seat. Choices A, B, and D are incorrect because they do not directly relate to the safety concerns associated with the infant car seat challenge. Choice A refers to the angle at which the neonate should be positioned in the car seat, which is important for proper positioning but not the primary concern during the car seat challenge. Choice B focuses on parental attitudes towards using the car seat, which is not a physiological
Question 5 of 5
The nurse is providing support for the parents of a neonate born with anencephaly. The parents repeatedly state, “I don’t believe this is happening to us. We were so careful during pregnancy.” The nurse associates the parents’ comments with which stage of grief?
Correct Answer: A
Rationale: The correct answer is A: Disbelief. In the context of the scenario, the parents' statements indicate a sense of shock and difficulty accepting the reality of their situation, which aligns with the stage of disbelief in the grief process. During this stage, individuals may struggle to comprehend the situation and may question how it could have happened despite their efforts. This initial stage typically involves denial and confusion. Choice B: Depression, is incorrect because the parents' statements do not reflect feelings of sadness or hopelessness, which are typical of the depression stage of grief. Choice C: Denial of reality, is incorrect as the parents' statements are more about disbelief and questioning rather than outright denial of the situation. Choice D: Anger with each other, is incorrect as there is no mention of the parents expressing anger towards each other in the scenario.